The nurse is caring for a full-term neonate born by cesarean. What is the effect of cesarean birth on the respiratory function of the neonate?
A. Retention of fluid in the lungs
B. Incidence of transient bradypnea
C. Exhaustion from the effort of breathing
D. Episodes of periodic breathing
Answer: A. Retention of fluid in the lungs
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During a well-child visit, the nurse asks the mother of a six-month-old infant, "Does your baby sit without assistance?" and "Is the baby crawling?" Which process is the nurse using in this interaction?
1. Disease surveillance 2. Health promotion 3. Health maintenance 4. Developmental surveillance
A nurse enters a client's room and finds the client's family fighting over what would be best for the client after discharge. When handling differences among family members, which action should the nurse encourage?
A) All members should bring up past incidents and use direct personal attack to get their point across. B) All members should avoid confrontation and work to smooth over disagreements. C) One member should surrender his or her position to preserve harmony in the family system. D) All members should respect differing opinions and use compromise and negotiation.
A 65-year-old male patient who appears anorexic, tells you he cannot sleep, has bruises all over his body, and claims he keeps falling may be:
A) In need of sleeping pills B) Abusing alcohol C) Suffering from small strokes D) Avoiding taking his medications
The daughter of an older patient with dementia tearfully tells the nurse that she doesn't know what's wrong with her mother, who has begun accusing the family of holding her prisoner. Which nursing diagnosis would be appropriate for this patient?
a. Powerlessness b. Defensive coping c. Ineffective coping d. Disturbed thought processes